Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $336.95 / $955.30	Facility		$170.29	$336.95	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $170.29 / $524.16	Professional		$170.29	$170.29	$524.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $210.91 / $331.06	Professional		$184.69	$210.91	$331.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $139.32 / $241.34	Facility		$26.41	$139.32	$241.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $150.25 / $205.00	Professional		$28.48	$150.25	$205.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.39 / $1,218.89 / $1,325.32	Facility		$580.39	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $267.18 / $490.70	Professional		$178.58	$267.18	$490.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $580.39 / $1,218.89 / $1,325.32	Facility		$580.39	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $252.03 / $490.70	Professional		$178.58	$252.03	$490.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $196.41 / $287.40	Professional		$41.71	$196.41	$287.40
United Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $234.31 / $413.72	Professional		$161.15	$234.31	$413.72